Assistant Manager

The role of an Assistant Manager in the Claim Operation Specialist unit is pivotal to ensuring the provision of affordable and comprehensive life and health products. As part of the Life and Health Operations (LHO) department, you will be responsible for managing projects and providing central claims support.

This includes reviewing life and health product specifications, system support, governance, peer reviews, and continuous improvement to claim operations. You will work closely with the claim processing team to ensure operational targets are met.

Other key responsibilities include:

• Product Review (Health Products)
  • Perform a thorough review of contract and product specification, including providing requirements for system changes, coordinating/soliciting teams' inputs, and workgroup discussions on medical and life claims.
  • Be part of the product implementation workgroup and have the opportunity to work with various internal and/or external parties.
• System Support
  • As a Claim Subject Matter Expert, serve as a liaison and reference point between Claim Business and the Business Analyst (BA)/Technical analyst, ensuring that business requirements are translated to functional requirements.
  • Conduct prioritization with BA and IT on system enhancements.
  • Support all production issues, rectifications, data patches/configuration changes or tasks that require some testing.
  • Involved in ongoing requirement gatherings.
  • Review impact/process changes due to system changes.
  • UREQ/BSD review from claim business user perspective.
  • Engagement, communication & briefing to stakeholders on impact areas in relation to system/product/benefit changes.
• Governance
  • Management of work instructions and documentation control.
  • Ensure governance and due diligence over claim processes and services engaged by Claims Section.
  • Perform claim peer review inspection.
  • Review and suggest process improvements for developing or implementing best practices.
  • Lead and participate in operation efficiency projects to bring efficiency to claims processes.
  • Support the Claims team in any compliance reporting, monitoring/reporting of exceptions, claim financial tracking, planning, and strategizing of claims management and other related duties.
  • Work closely and maintain good rapport with representatives (financial consultants, advisers, brokers, etc.), officers, and staff of other departments to carry out his/her work effectively.
  • Communicate effectively with reinsurers, auditors, and external stakeholders such as the CPF Board, and hospitals, clinics, nursing homes in the course of claims administration or audits.
  • Conduct Claims Workshops to financial advisors when the need arises.
  • Undertake any projects or duties, including administrative duties, as assigned by Section Manager or Head of Function.
  Required Skills and Qualifications

The ideal candidate should possess the following skills and qualifications:

• Degree/Diploma holder with five or more years of experience in Shield Claims.
• Strong background in Integrated Shield claim processes.
• Strong policy language skills enabling accurate and consistent policy wording interpretation.
• Strong critical thinking skills and ability to handle complex computations.
• Strong written and communication skills, committed team player.
• Ability to work under pressure and manage deadlines.
• Meticulous with good analytical, organisational skills.
• Able to multi-task and work independently.
• Customer centric.

As an Assistant Manager in the Claim Operation Specialist unit, you will have the opportunity to:

• Develop and implement process improvements.
• Collaborate with cross-functional teams.
• Build strong relationships with stakeholders.
• Contribute to the growth and success of the organization.

Additional responsibilities may include:

• Process Improvement and Optimisation.
• Claims Management.
• Hospitals.
• Due Diligence.
• Settlement of claims.
• System support.
• Continuous Process Improvement.
• Critical Thinking.
• Business Process Improvement.
• Compliance.
• Insurance Claims.
• Transportation.
• Audits.
• Communication Skills.
• Nursing.
• Team Player.
• Business Analyst.
• Handling of claims.
• Health Insurance.